BPG Cultural Competence - rnao.ca

1 APRIL 2007 Healthy Work EnvironmentsBest Practice GuidelinesEmbracing CulturalDiversity in HealthCare: DevelopingCultural Competence Greetings from Doris Grinspun, Executive DirectorRegistered Nurses Association of OntarioIt is with great pleasure that the Registered Nurses Association of Ontarioreleases Embracing Cultural diversity in Health Care: Developing Cultural CompetenceGuideline." This is one of a series of six Best Practice Guidelines (BPGs) on Healthy WorkEnvironments (HWE), developed to date by the nursing community. The aim of these guidelinesis to provide the best available evidence to support the creation of thriving work environments. Evidence-based HWE BPGs, when applied, will serve to support the excellence in service thatnurses are committed to delivering in their day-to-day practice. RNAO is delighted to be able toprovide this key resource to you.

2 We offer our endless gratitude to the many individuals and organizations that are making ourvision for HWE BPGs a reality. To the Government of Ontario and Health Canada for recognizingRNAO s ability to lead this program and for providing generous funding. To Donna Tucker, program directorfrom 2003 to 2005, and to Irmajean Bajnok RNAO Director, Centre for Professional Nursing Excellence and theprogram s lead since 2005, for providing wisdom and working intensely to advance the production of theseHWE BPGs. To each and all HWE BPG leaders and in particular, for this BPG, Panel Chair Rani Srivastava andPanel Coordinator Dianna Craig, for providing superb stewardship, commitment and above all exquisiteexpertise. Thanks go also to the amazing panel members who generously contributed their time andknowledge. We could not have delivered such a quality resource without you!

3 We thank in advance the entire nursing community, committed and passionate about excellence in nursing careand healthy work environments, who will now adopt these BPGs and implement them in their worksites. We askthat you evaluate their impact and tell us what works and what doesn t, so that we continuously learn from you,and revise these guidelines informed by evidence and practice. Partnerships such as this one are destined toproduce splendid results learning communities all eager to network and share expertise. The resultingsynergy will be felt within the BPG movement, in the workplaces, and by those who receive nursing care. Creating healthy work environments is both a collective and an individual responsibility. Successful uptake ofthese guidelines requires the concerted effort of nurse administrators, nursing staff and advanced practicenurses, nurses in policy, education and research, and health care colleagues from other disciplines across theorganization.

4 It also requires full institutional support from CEO s and their Boards. We ask that you share thisguideline with all. There is much we can learn from each other. Together, we can ensure that health organizations including nurses and all other health care workers, buildhealthy work environments. This is central to ensuring quality patient care. Let s make health care providers,their organizations and the people they serve the real winners of this important effort! Doris Grinspun, RN, MSN, PhD (c), Nurses Association of OntarioHealthy Work EnvironmentsBest Practice GuidelinesEmbracing Cultural diversity in Health Care1 Disclaimer & CopyrightDisclaimerThese guidelines are not binding for nurses or the organizations that employ them. The use of theseguidelines should be flexible based on individual needs and local circumstances. They neither constitute aliability nor discharge from liability.

5 While every effort has been made to ensure the accuracy of the contentsat the time of publication, neither the authors nor the Registered Nurses Association of Ontario (RNAO) giveany guarantee as to the accuracy of the information contained in them nor accept any liability, with respectto loss, damage, injury or expense arising from any such errors or omissions in the contents of this work. CopyrightThis document is in the public domain and may be used and reprinted without special permission, exceptfor those copyrighted materials noted for which further reproduction is prohibited without the specificpermission of copyright holders. The Registered Nurses Association of Ontario (RNAO) will appreciatecitation as to source. The suggested format for citation is indicated below:Registered Nurses Association of Ontario (2007). Embracing Cultural diversity in Health Care: DevelopingCultural , Canada: Registered Nurses Association of Ontario2 Development Panel MembersRani Srivastava, RN, MScN, PhD(c)Panel Chair Deputy Chief of Nursing PracticeCentre for Addiction & Mental HealthToronto, OntarioSaima AhmadBScN Level Student (class 2006)McMaster UniversityDiversity Officer, Nursing Students of Ontario Hamilton, OntarioJanet Anderson, RN, BScN, MEdManager, PracticeCollege of Nurses of OntarioToronto, OntarioCynthia Baker, RN, PhDDirector, School of Nursing and Associate DeanFaculty of Health Sciences, Queens UniversityKingston, OntarioHelen Barrow, RPN (Registered Practical Nurse) Case Manager Out Patient Mental HealthNorth York GeneralToronto, OntarioAllison A.

6 Brown, RN, BScNOffice Case ManagerCentral West Community Care Access CentreEtobicoke, OntarioRob Calnan, RN, BScN, MEdManagerPractice and EvaluationCanadian Nurse Practitioner Initiative Canadian Nurse AssociationOttawa, OntarioSalma Debs-Ivall, RN, BScN, MScNCorporate Associate CoordinatorNursing EducationNursing Professional Practice DepartmentThe Ottawa HospitalTerri Dixon RN, BN, MEdProfessor, NursingCollaborative Nursing Degree ProgramRyerson University, Centennial College,George Brown CollegeGeorge Brown College Site Toronto, OntarioLisa Dutcher, RN, BN, MN(c)First Nations and Inuit Home CommunityCare Program Coordinator and President, Aboriginal Nurses AssociationFredericton, New BrunswickGinette Lazure, inf., MScinf., PhDProfesseure agr g e,Directrice des programmes de premier cycleResponsable acad mique pour la formation l'internationalFacult des sciences infirmi res, Universit Laval, Qu becHealthy Work EnvironmentsBest Practice Guidelines3 Ruth Lee, RN, BScN, MScN, PhDChief of Nursing Practice, Professional AffairsMcMaster University Medical CentreHamilton Health SciencesHamilton Ontario Joan Lesmond, RN, BScN, MSN, EdDChief Nursing Executive Casey HouseToronto, OntarioShalimar Santos-Comia, RN, BScN, MHScDirector, Nursing Education and InformaticsSunnybrook Health Sciences CentreToronto, OntarioYasmin Vali, RN, MHSAD irector, Community and Patient Relations Access and Equity ServicesThe Scarborough HospitalToronto, OntarioMichael J.

7 Villeneuve, RN, BScN, MSc Scholar in ResidenceCanadian Nurses AssociationOttawa, OntarioEmbracing Cultural diversity in Health CareResponsibility for DevelopmentThe Registered Nurses Association of Ontario (RNAO),with funding from the Ministry ofHealth and Long-Term Care and in partnership with Health Canada has embarked on a multi-year projectof healthy work environments best practice guidelines development, pilot implementation, evaluation anddissemination that will result in guidelines developed by expert panels. This guideline was developed by anexpert panel convened by the RNAO, conducting its work independent of any bias or influence fromfunding agencies. The panel was supported by members of the RNAO project teams as listed TeamIrmajean Bajnok, RN, MSN, PhDDirector, RNAO Centre for Professional Nursing ExcellenceProject Director (as of July 2005)Donna Tucker, RN, MScNProject Director (2003-2005)Dianna Craig, RN, BA, MEdPanel Coordinator (as of April 2005)Cian Knights, BAProject Assistant (2003-August 2005)Erica Kumar, BSc, GC, DipHlthPromProject Assistant (as of September 2005)Contact Information Registered Nurses Association of OntarioHealthy Work Environments Best Practice Guidelines Project158 Pearl Street, Toronto, Ontario, M5H 1L3 Website.

8 Work EnvironmentsBest Practice Guidelines4 Embracing Cultural diversity in Health Care5 Stakeholder AcknowledgementThe Registered Nurses Association of Ontario wishes to acknowledge the following for their contribution inreviewing this nursing best practice guideline and providing valuable feedback:Rita K. Adeniran, MSN, RN, CMAC, BCGlobal Nurse AmbassadorHospital of the University of PennsylvaniaPhiladelphia, PennsylaniaPatricia Boucher, RN, BHSc(N), COHN(C),CRSP, CDMPD irector Client and Consultant ServicesOntario Safety Association for Community and Health CareToronto, OntarioGwendolyn Bourdon, RN, BScN, MEdEducation ManagerRunnymede Health Care CentreToronto, OntarioBarbara Aileen Bowles, RN, BSN, PNC(C)Staff NurseNiagara Health SystemsSt. Catharines, OntarioManjit Kaur Budwal, RN, BScNPractice ConsultantCollege of Nurses of OntarioToronto, OntarioMargarita Cleghorne, RPN (Registered Practical Nurse)Clinical InstructorWescom SolutionsMississauga, OntarioPatrick Clifford, BA, BSW, BEd, MSW, RSWC oordinator, Professional PracticeSouthlake Regional Health CentreNewmarket, OntarioJeffrey D Hondt, BA Hon, BSW, MSW, RSWP olicy AnalystMinistry of Health and Long-Term CareToronto, OntarioC cile Diby, RN, BScNNursing Education SpecialistSCO Health Care ServiceOttawa, OntarioJosephine B.

9 Etowa, RN, RM, IBCLC,BScN, MN, PhDAssistant ProfessorDalhousie University School of NursingHalifax, Nova ScotiaNancy Fram, RN, BScN, MEdVP Professional Affairs and Chief Nursing ExecutiveHamilton Health SciencesHamilton, OntarioLinda Gardner, BADiversity and Community Access CoordinatorWomen's College HospitalToronto, OntarioRose Gass, RN, ENC(C), BA Econ, MHS(c)Director Emergency and Intensive CareNorfolk General HospitalSimcoe, OntarioAmy Go, MSWE xecutive DirectorYee Hong Centre for Geriatric CareToronto, OntarioJulie Gregg, RN, BScN, MAd EdCoordinator, Member Relations and DevelopmentCollege of Registered Nurses of Nova ScotiaHalifax, Nova Scotia6 Pat Griffin, RN, PhDExecutive DirectorCanadian Association of Schools of NursingOttawa, OntarioRebecca Hagey, BS, BSc, MA, PhD, Professor, Faculty of NursingUniversity of TorontoToronto, OntarioMary Jane Herlihey, BScN, RNClinical Education ConsultantParaMed Home Health CareOttawa, OntarioChristy IpStudentCentre for Equity in Health and SocietyToronto, OntarioSandra Ireland, RN, BScN, MSc, PhD(student)

10 Chief of Nursing PracticeHamilton General HospitalHamilton, OntarioTerri Irwin, RN, MNPractice ConsultantCollege of Nurses of OntarioToronto, OntarioRachel JohnsonNursing StudentMcMaster UniversityHamilton, OntarioCarolyn Johnson, BScN, RN, MEdProfessional Practice Liaison Children's Health and Policy DevelopmentIWK Health Care CentreHalifax, Nova ScotiaCatherine Kohm, RN, MEdDirector of NursingBaycrestToronto, OntarioBrenda Lewis, RN, BScNRegistration ConsultantCollege of Nurses of OntarioToronto, OntarioCheryl Lyons, RN, BScNProfessional Practice EducatorJoseph Brant Memorial HospitalBurlington, OntarioSuzette Mahabeer, RN, BScN, MS(c)Staff NurseSt. Joseph's Health CareStoney Creek, OntarioPatricia Malloy, MSN, RNClinical Nurse Specialist/Nurse PractitionerThe Hospital for Sick ChildrenToronto, OntarioMariana Markovic, RN, CPN(C), BScNProfessional Practice SpecialistOntario Nurses AssociationToronto, OntarioDebra McAuslan, RN, MScNProfessional Practice SpecialistLondon Health Sciences CentreLondon, OntarioToba Miller, RN, MScN, MHA, GNC(C)Advanced Practice NurseThe Ottawa HospitalOttawa, OntarioHealthy Work EnvironmentsBest Practice Guidelines7 Norma Nicholson, RN, BA, MA(Ed)Service ManagerWest Park Health Care CentreMississauga, OntarioNancy Purdy, RN, PhD(c)Doctoral StudentUniversity of Western OntarioLondon, OntarioCheryl Reid-Haughian, RN, MHScN, CCHN(C)